Precise identification of functional lymphatic vessels and lymph nodes during surgery
FLUORESCENCE IS A MUST FOR THE VISUALIZATION OF THE LYMPHATIC SYSTEM IN THE PREVENTION, DIAGNOSIS UP TO LYMPHATIC SURGERY.
Lymphedema is the most common disease of the lymphatics. Secondary lymphedema (due to surgery) is estimated to be approximalively 10 million people worldwide. Lymphedema can be addressed surgically. Precise identification of functional lymphatic vessels and/or lymph nodes is essential in helping surgeons during procedures.
FLUOBEAM®, a near-infrared fluorescence camera, is a unique tool used to assess and analyse lymphatic drainage, efficiency and dysfunction.
It allows for the precise identification of functional lymphatic vessels before lymphatico-venous anastomosis (LVA), and lymph nodes in lymph node transfer procedures.
FLUOBEAM® IN ACTION
Visualization of lymphatic vessels
During consultation, FLUOBEAM® can be used to image in real time functional superficial lymphatic vessels: to perform early diagnosis of lymphedema, to select the most appropriate treatment (surgical or not), and to plan for post-surgery follow-up.
During surgery, FLUOBEAM® can be used: to identify functional superficial lymphatic vessels that can be used for lymphatico-venous anastomosis (LVA), to avoid the harvesting of lymph nodes that do not drain the resected area by performing a “reverse mapping”, for post-surgery follow-up.
Sentinel node biopsy
Sentinel lymph node (SLN) is the first lymph node that drains the tumour. The SLN procedure aims to detect, dissect and analyse this lymph node.
Indocyanine green fluorescence imaging has recently been introduced as an alternative method to assist surgeons in lymph node dissection procedures. FLUOBEAM® allows the visalization of superficial lymphatic drainage and the detection of sentinel lymph nodes after skin incision for different types of tumours.
Pr Jaume MASIA
Plastic and Aesthetic Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
'It is essential to understand how the lymphedema works and so FLUOBEAM® is really key for this kind of information. I just can’t perform lymphatic surgery without fluorescence imaging.'
Dr Charlotte NGO
Gynecological and Breast Cancer Surgery, Hôpital Européen Georges Pompidou, Paris, France
'The ICG for detection of the SLN in early breast cancer is feasible; it is accurate, safe and cheap.'
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